| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.70 | $32.13 | $39.88 | |
CareFirst
| Professional | $28.00 | $34.36 | $43.65 | |
Cigna
| Professional | $23.52 | $33.69 | $105.43 | |
Kaiser Permanente
| Professional | $42.84 | $53.55 | $64.26 | |
United
| Professional | $16.64 | $19.82 | $38.97 | |
Wellpoint
| Professional | $21.42 | $42.04 | $42.04 |